CPT code 50972: Ureteroscopy, with catheter insertion2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $311.75 for 50972 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 50972 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 50972 covers

The urologist passes an endoscope through an existing ureterostomy to examine the ureter and inserts a ureteral catheter. The service is used when access is through the stoma rather than the urethra, such as during evaluation or management of a patient with a surgically created ureterostomy. It is performed by a urologist in an operating room or another setting equipped for endoscopic urinary tract procedures.

Select this code when the documented procedure includes both ureteroscopy through the ureterostomy and catheter insertion; a diagnostic examination alone or an added biopsy or treatment belongs to a different code in the family. The operative report should identify the route, ureter examined, catheter placement, and any additional work. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Delaware compares for 50972

Across 109 of 109 payment localities, the facility rate for 50972 runs from $291.52 in Nebraska to $417.29 in Alaska. Delaware pays $311.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

50972 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 50972 in every payment locality

How the 50972 rate is calculated

Each of 50972’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 50972

The CMS indicators that decide how 50972 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 50972

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 50972 has changed in Delaware

Price 50972 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates